Department of Plastic and Reconstructive Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China.
J Craniofac Surg. 2024;35(2):388-391. doi: 10.1097/SCS.0000000000009909. Epub 2023 Nov 20.
The clinical application of the retrograde postauricular island flap has been widely restricted because of its limited size and high morbidity of venous congestion. Thus, in this article, we introduced a pre-expanded retrograde postauricular island flap to reconstruct the large periorbital defect. A total of 13 patients with periorbital lesions who had undergone the treatment of our flap were enrolled in the study. The whole series of operations was divided into 3 parts, including expander implantation in the postauricular region, a series of expander inflations, and flap transferring, and special incisions were also designed in the procedure. In the end, all the flaps survived without serious complications. The mean size of the harvested flaps was 2.65 times larger than that of our nonexpanded cases. The reconstructed periorbital region showed a functional and aesthetic repair outcome after a follow-up of 3 to 30 months. To conclude, the pre-expanded retrograde postauricular island flap was a safe way to reconstruct a larger periorbital defect.
由于逆行耳后岛状皮瓣的尺寸有限且静脉淤血的发病率较高，其临床应用受到了广泛限制。因此，本文介绍了一种预扩张的逆行耳后岛状皮瓣，用于重建大面积的眶周缺损。共有 13 名眶周病变患者接受了我们皮瓣的治疗，该系列手术分为 3 部分，包括耳后区域扩张器的植入、一系列的扩张器充气和皮瓣转移，在手术过程中还设计了特殊的切口。最后，所有皮瓣均存活，无严重并发症。所采集皮瓣的平均大小比我们未扩张的病例大 2.65 倍。在随访 3 至 30 个月后，重建的眶周区域显示出功能和美学修复效果。总之，预扩张的逆行耳后岛状皮瓣是一种安全的方法，可以重建更大的眶周缺损。
